摘要
目的 :探讨膀胱腺癌的诊治效果。方法 :回顾性分析 2 2例膀胱腺癌的临床资料 ,其中原发性膀胱腺癌 1 9例 ,脐尿管癌 3例。结果 :2 2例有 8例次行根治性膀胱全切术 ,4例行次膀胱全切术 ,2例次行扩大膀胱部分切除术 ,3例次行膀胱部分切除术 ,5例次行经尿道膀胱肿瘤切除术。术后随访 1～ 5年 ,其 2年生存率为55 .5 % ,5年生存率为 33 .3 %。结论 :扩大性膀胱部分切除术是脐尿管癌的主要手术方式 ,原发性膀胱腺癌多行根治性膀胱全切术 。
Purpose:To investigate the treatment outcome of bladder adenocarcinoma.Methods:22 cases of bladder adenocarcinoma treated from January 1996 to August 2000 were reviewed and analyzed. 19 cases were primary bladder adenocarcinoma, and the other three were urachal adenocarcinoma.Results:8 of 22 cases underwent radical total cystectomy, 4 cases did total cystectomy,2 cases did extensive partial cystectomy, and 3 cases did partial cystectomy and 5 TUR Bt.All the cases have been followed up at least one to five years. The two year survival rate was 55.5 % and the five year survival rate was 33.3 %.Conclusions:Extensive partial cystectomy should be an effective treatment for the urachal adenocarcinoma.Radical total cystectomy was the main choice of treatment for the primary adenocarcinoma of bladder.The curative effect remains to be improved for urinary bladder adenocarcinoma.
出处
《临床泌尿外科杂志》
2003年第3期146-147,共2页
Journal of Clinical Urology
关键词
膀胱腺癌
诊断
治疗
Bladder neoplasms
Urachal neoplasms
Adenocarcinoma
